JP7450180B2 - information processing equipment - Google Patents

Description

The present invention relates to technology that supports microbial testing.

There are technologies that support microbial testing. For example, Patent Document 1 discloses that a dish of a Petri dish placed upside down with a dish containing a culture medium on the top and a lid on the bottom is lifted, the dish and the lid are separated, and the inside of the dish is A technique is disclosed in which a medium is imaged from a position below the dish through a downward opening of the dish, and microorganisms in the culture medium are detected based on the captured image.

JP2017-42145A

In microbiological testing, the accuracy of the information obtained as a result of the testing is likely to be affected by the level of experience of the worker. However, it is difficult to always have experienced workers perform inspection tasks, and the number of experienced workers will not increase unless inexperienced workers are also allowed to perform inspection tasks. On the other hand, there is also the problem that inaccurate test results may affect patient treatment.
Therefore, the present invention aims to stabilize the quality of microbial testing regardless of the level of experience of the operator.

The present invention includes a start acquisition unit that acquires start information indicating the start of a process in microbial testing, and outputs print data for printing work information indicating the work content of the process indicated by the acquired start information on a medium. a print output unit, a work acquisition unit that acquires the work information read from the medium, and a display control unit that causes a display unit to display an input image for inputting the work result indicated by the acquired work information. Provided is an information processing device, wherein the start acquisition unit acquires input information to the input image as the start information of a new process.

Further, the print output unit outputs the print data of the work information including a barcode indicating identification information for identifying the process, and the work acquisition unit acquires the work information read from the barcode. You may.

Further, the print output unit may output the print data of the work information including a character string indicating the work content in the step.

Further, the print output unit may output the print data in which the character string is the pasting destination of the medium.

Further, the start acquisition unit may acquire, as the start information, instruction information read from a medium on which instruction information indicating an examination instruction from a doctor is printed.

Further, the print output unit may output the print data for printing the work information of a process determined according to the acquired input information.

Further, the display control unit displays the input image of the acquired work information in an inputtable state on the screen for the microbial test including the plurality of input images, and displays the input image of the acquired work information in an inputtable state, and The image may be displayed in a state where input is not possible.

Further, in a task of making a judgment based on the appearance of the inspection object, the display control unit displays a sample image of the appearance associated with the judgment result as the input image, and the start acquisition unit controls whether the sample image selected is In this case, the determination result associated with the sample image may be acquired as the start information.

Further, the display control unit may display two or more of the sample images associated with the determination result.

Further, when one of the two or more sample images is selected, the start acquisition unit acquires a determination result associated with the selected sample image as the start information, and the display control unit The two or more sample images may be displayed in a manner according to the selection results.

According to the present invention, the quality of microbial testing can be stabilized regardless of the level of experience of the operator.

A diagram showing the overall configuration of an inspection support system according to an example Diagram showing the hardware configuration of the server device Diagram showing the hardware configuration of testing equipment and doctor equipment Diagram showing the functional configuration realized in the inspection support system Diagram showing an example of instruction information printed on an instruction label Diagram showing an example of stored instruction information Diagram showing an example of the process to be performed Diagram showing an example of instruction information printed on a work label Diagram showing an example of a displayed input image A diagram showing an example of an image for inputting instruction information Diagram showing an example of an image for inputting test results for specimen evaluation Diagram showing an example of an image for inputting test results for bacterial species identification Diagram showing an example of the display mode of operation buttons Diagram showing an example of stored drug information Diagram representing an example of a report before completion of drug susceptibility testing Diagram representing an example of a report after completion of drug susceptibility testing Diagram showing an example of the operation procedure in guide processing Diagram showing an example of operating procedures in report processing Diagram showing an example of an image for inputting test results of specimen evaluation in a modified example

[1] Example FIG. 1 shows the overall configuration of an inspection support system 1 according to an example. The test support system 1 is a system that supports work related to microbial testing consisting of a plurality of work steps, and its main users are test implementers such as clinical laboratory technicians. The test support system 1 includes a network 2, a server device 10, a test device 20, and a doctor device 30.

The network 2 is a system that mediates data exchange between devices, and is, for example, a LAN (Local Area Network) provided within a medical facility. A server device 10 and a testing device 20 are connected to the network 2 . Although the connection between the network 2 and each device is shown as a wired connection in FIG. 1, it may be a wireless connection. The server device 10 is a device that stores various information related to microbial testing (work and drug information, etc.) and also stores the results of work in each process.

The testing device 20 is a device used by a tester who conducts a microbial test. The testing device 20 accepts input of test results and the like by a person conducting the test and transmits them to the server device 10, and displays various information transmitted from the server device 10. A printer 3 and a code reader 4 are connected to the inspection device 20. The printer 3 is a device that prints an image on a printing medium. The code reader 4 is a device that reads a code printed on a medium.

A code is an image expressed by converting information based on a predetermined standard, and is, for example, a barcode or a two-dimensional code. In this embodiment, a code reader 4 that reads barcodes is used. In the test support system 1, a medium on which a code is printed is pasted on an instrument used for microbial testing, and information is read from the pasted medium repeatedly during microbial testing. The medium affixed to instruments, etc. is hereinafter referred to as a "label."

As the label, for example, a medium whose back surface is coated with an adhesive substance is used so that it can be easily attached to an instrument or the like. In addition, since instruments with labels pasted on them are often exposed to water or disinfected with alcohol, labels must be resistant to water, alcohol, etc. (retain printed information in a recognizable manner). It is desirable to use a material that has the following properties. We will explain in detail later how to affix and read labels and how to proceed with microbial testing.

The doctor's device 30 is a device used by a doctor who treats a patient from whom a specimen to be subjected to microbial testing is collected. The printer 3 is connected to the doctor's device 30 similarly to the testing device 20. The doctor's device 30 prints coded information for instructing a microbial test on a label based on the doctor's operation. This label is also affixed to the above-mentioned instrument and read by the code reader 4.

FIG. 2 shows the hardware configuration of the server device 10. The server device 10 is a computer including a control section 11, a storage section 12, and a communication section 13. The control unit 11 includes a CPU (Central Processing Unit), a ROM (Read Only Memory), a RAM (Random Access Memory), and the like.

The CPU controls the operations of the storage section 12 and the communication section 13 by executing programs stored in the ROM and the storage section 12 using the RAM as a work area. The storage unit 12 includes a hard disk or the like, and stores data, programs, etc. used by the control unit 11 for control. The communication unit 13 includes a communication circuit for communicating via the network 2, and transmits and receives data via the network 2.

FIG. 3 shows the hardware configuration of the testing device 20 and the doctor's device 30. The testing device 20 and the doctor device 30 are computers that include a control section 21 , a storage section 22 , a communication section 23 , a display section 24 , and an operation section 25 . The control section 21, the storage section 22, and the communication section 23 are the same type of hardware as the control section 11, the storage section 12, and the communication section 13. The display section 24 has, for example, a display, and displays an image on the display surface based on the control of the control section 21. The operation unit 25 includes operators such as a keyboard and a mouse, and supplies operation data representing the content of the user's operation to the control unit 21.

The storage units of the server device 10, the test device 20, and the doctor device 30 store programs for realizing functions that support work related to microbial testing. The described functionality is realized. Note that various types of information, such as test results of microbial tests, are exchanged in the form of data, but hereinafter, sending or receiving data is also simply referred to as sending or receiving information indicated by the data.

FIG. 4 shows the functional configuration realized in the inspection support system 1. The server device 10 includes an instruction information storage section 101 , a work information storage section 102 , an input image storage section 103 , a work result storage section 104 , a recommended drug identification section 105 , and a drug information storage section 106 . The inspection device 20 includes a start information acquisition section 201, a code reading section 202, a process determination section 203, a print data output section 204, a work information acquisition section 205, an input control section 206, and a report output section 207. Equipped with. The doctor's device 30 includes an instruction receiving section 301 and a print data output section 302.

Microbiological testing is primarily performed to enable doctors to identify pathogens and provide effective treatment when treating patients. Therefore, when a doctor treating a patient collects a specimen, he operates the doctor's device 30 and instructs a microbial test. Note that the doctor may give instructions including the task of collecting the specimen. The instruction receiving unit 301 of the doctor's device 30 receives an operation by a doctor (hereinafter referred to as "instruction operation") for instructing implementation of a microbial test.

The screen displayed when accepting an instruction operation will be explained later with reference to the drawings. The instruction receiving unit 301 receives, for example, a medical record ID (Identification) which is identification information of a patient subject to a microbial test, the type of specimen, the date and time of collection (if the specimen has already been collected), the contents of the test, and the attachment of an instruction label. Receives input from the other end as an instruction operation.

Microbiological tests include, for example, tests that classify microorganisms into four types by looking at Gram-stained specimens under a microscope (hereinafter referred to as "microscopic examination"), and tests that identify the names of microorganisms (hereinafter referred to as "microscopic examination"). It includes multiple tests, such as testing for the susceptibility of microorganisms to drugs (hereinafter also referred to as "susceptibility"). Not all tests are always performed, and depending on the patient and treatment situation, they may be instructed to perform only some tests.

In addition, if a specimen collection is also instructed, the name "collection" shall be used instead of the test name. Note that the inspection contents are not limited to those mentioned above. For example, genetic testing of microorganisms using the PCR (Polymerase Chain Reaction) method, etc., acid-fast bacterium tests that mainly check for Mycobacterium tuberculosis, QFT (QuantiFeron) tests, and rapid tests that mainly detect pathogenic bacteria such as influenza viruses. May be included in the content.

When an instruction operation is performed, the instruction receiving unit 301 issues a test ID for identifying the microbial test that is instructed, and supplies instruction information including the issued test ID to the print data output unit 302. The print data output unit 302 outputs print data for printing instruction information indicating an examination instruction from a doctor on a label to the printer 3 shown in FIG. 1 . The printer 3 prints instruction information indicated by the output print data on a label.

A label on which instruction information indicating an examination instruction from a doctor is printed is hereinafter referred to as an "instruction label."
FIG. 5 shows an example of instruction information printed on an instruction label. On the instruction label 5 shown in FIG. 5, character string information A1 and barcode B1 are printed. The character string information A1 indicates the character strings "Specimen: Aspirated sputum", "Collection date and time: xxxxxxx", "Test content: microscopic examination/identification/sensitivity", and "Attached destination: test tube for storing the specimen". .

In this embodiment, the barcode B1 indicates the medical record ID of the patient from whom the sample to be tested is collected and the test ID issued as described above. The instruction label 5 is attached by a doctor, a clinical laboratory technician, or the like to the attachment destination (in the example of FIG. 5, the test tube containing the specimen) indicated by the character string information A1. The instruction information indicating the test instruction from the doctor is printed on the instruction label 5 as described above, and is also transmitted to the server device 10 by the instruction receiving unit 301.

The instruction information storage unit 101 of the server device 10 stores the received instruction information.
FIG. 6 represents an example of stored instruction information. In the example of FIG. 6, the instruction information storage unit 101 stores a chart ID of "C001", a test ID of "D01", a specimen type, a collection date and time, a test content, and an attachment destination as instruction information. Note that the instruction information storage section 101 constitutes an inspection history storage section 107 together with the work result storage section 104, and in FIG. 6, various inspection histories stored in the inspection history storage section 107 are shown. .

Other inspection histories (work information, work results) stored in the inspection history storage unit 107 will be explained later. The code reading unit 202 of the testing device 20 reads the information indicated by the code printed on the label using the code reader 4 shown in FIG. For example, when a test tube with an attached instruction label 5 shown in FIG.

The code reading unit 202 reads the medical record ID and examination ID indicated by the barcode B1 read by the code reader 4. The code reading unit 202 supplies the read medical record ID and examination ID to the start information acquisition unit 201. The start information acquisition unit 201 acquires start information indicating the start of a process in microbial testing. The start information acquisition section 201 is an example of the "start acquisition section" of the present invention.

The start information acquisition unit 201 requests the instruction information storage unit 101 for instruction information associated with the supplied chart ID and examination ID. The instruction information storage section 101 supplies the requested instruction information to the start information acquisition section 201. The start information acquisition unit 201 acquires the supplied instruction information as start information. In this way, the start information acquisition unit 201 acquires the instruction information read from the instruction label as the start information.

In addition, since the information encoded with the barcode B1 has a small amount of information, the start information acquisition unit 201 reads out the instruction information stored in the server device 10 using the encoded information (examination ID, etc.). As a result, more information than encoded information is obtained as starting information. The start information acquisition unit 201 supplies the start information thus acquired to the process determination unit 203.

The process determining unit 203 determines one or more processes to be started (hereinafter referred to as "starting process") based on the supplied start information. The starting step can include not only one step but also two or more steps performed in sequence and two or more steps performed in parallel. Microbial testing consists of multiple work steps such as "specimen collection," "specimen evaluation," "microscopic examination," "culture," "bacterial species identification," and "drug susceptibility testing." The steps to be performed are not always the same and vary depending on the doctor's instructions and the progress of the test.

FIG. 7 represents an example of the steps to be performed. In FIG. 7, "Step E01: Specimen collection", "Step E02: specimen evaluation", "Step E03: microscopic examination", "Step E04: culture", "Step E05: bacterial species identification", "Step E07: drug susceptibility" Seven procedures called "exams" are shown. E01 to E07 are process IDs assigned to each process in the inspection support system 1. For example, if the instruction does not include "sampling" but includes "microscopic examination", step E03 (Gram staining) is started.

However, if the specimen is sputum, the process may start from step E02 (sample evaluation). Further, since the appropriate medium may differ depending on the classification result of Gram staining, the type of specimen, the condition of the patient, etc., different procedures are prepared for step E04 (cultivation) for each type of medium. Note that in the example in Figure 7, step E03 (microscopic examination), step E05 (bacterial species identification), and E06 (drug susceptibility test) are one step, but each step includes multiple steps depending on the situation. It may be prepared.

When the start information indicates instruction content including "collection" of sputum, the process determination unit 203 determines, for example, processes E01 and E02 as starting processes. Furthermore, when the start information indicates instruction content including "collection" of a sample other than sputum, the process determination unit 203 determines, for example, processes E01 and E03 as starting processes. No matter which instruction content is used to carry out the inspection, the two determined processes will always be carried out.

The process determination unit 203 may determine two or more processes at once if two or more processes are necessarily performed based on the instructed content. Note that if the next process changes depending on the work result of the next process, the process determination unit 203 determines only the next process as the starting process. Moreover, even if two or more processes are determined from the instruction content, the process determination unit 203 may determine only the next process as the starting process.

If the instruction includes a "microscopic examination" of collected sputum, the process determination unit 203 determines that the process E02 is the starting process because evaluation of the sample is required. Furthermore, if the instruction includes a "microscopic examination" of a sample other than collected sputum, the process determination unit 203 determines that process E03 is the starting process since evaluation of the sample is unnecessary. After determining the starting process as described above, the process determining unit 203 acquires information indicating the work content of the determined starting process from the server device 10.

The work information storage unit 102 of the server device 10 stores information (hereinafter referred to as "work information") indicating the work contents of each of a plurality of steps in microbial testing. The work information is information indicating the work target (specimen, colony, etc.), the instruments used for the work (microscope, culture medium, medicine, etc.), the work procedure, the process ID of each process, and the like. The process determination unit 203 transmits request data indicating that the process ID and work information of the determined process are requested to the server device 10.

The work information storage unit 102 transmits work information including the process ID indicated by the received request data to the inspection device 20 that is the request source. The process determination unit 203 supplies the received work information to the print data output unit 204. The print data output unit 204 connects the supplied work information, that is, the print data for printing on a label the work information indicating the work content of the process indicated by the start information acquired by the start information acquisition unit 201, to its own device. Output to the printer 3 that is installed. The print data output section 204 is an example of the "print output section" of the present invention.

In this embodiment, when two or more pieces of start information are supplied, the print data output unit 204 prints work information indicating the work content of each process indicated by the two or more pieces of start information on two or more labels. Output print data for The printer 3 prints work information indicated by the output print data on a label. The label on which work information is printed is hereinafter referred to as a "work label."

FIG. 8 shows an example of instruction information printed on a work label. On the work label 6 shown in FIG. 8, character string information A2 and barcode B2 are printed. The character string information A2 indicates character strings such as "specimen: aspirated sputum", "collection date and time: xxxxxxx", "work content: M&J classification", and "attachment destination: petri dish". In this way, the print data output unit 204 outputs print data of work information including a character string indicating the work content in the process indicated by the start information.

More specifically, the print data output unit 204 outputs print data in which the destination of the work label is a character string. Further, in this embodiment, the barcode B2 indicates the medical record ID and test ID of the patient from whom the sample to be tested is collected, and the determined process ID. In this manner, the print data output unit 204 outputs print data of work information including a barcode indicating a process ID, which is identification information for identifying the process indicated by the start information.

As described above, when the person conducting the test reads the instruction label 5 shown in FIG. The person conducting the test attaches the printed work label 6 to the attachment destination (a petri dish in the example of FIG. 8) indicated by the character string information A2. The person conducting the test uses the instrument to which the work label 6 is attached (a Petri dish in the example of FIG. 8) to perform the work (M&J classification in the example of FIG. 8) printed on the work label 6.

After carrying out the work, the person conducting the test inputs the results of the work into the test support system 1 according to the following procedure. The person conducting the test first causes the code reader 4 of the test device 20 to read the code. The code reading unit 202 reads the medical record ID, examination ID, and process ID indicated by the barcode B2 read by the code reader 4. The code reading unit 202 supplies the read medical record ID, examination ID, and process ID to the work information acquisition unit 205.

Note that when the code reading unit 202 reads the process ID, it supplies the reading result to the work information acquisition unit 205, and when it does not read the process ID, it supplies the reading result to the start information acquisition unit 201 as described above. . The work information acquisition unit 205 acquires the supplied medical record ID, examination ID, and process ID as work information read from the barcode printed on the work label. The work information acquisition unit 205 is an example of the “work acquisition unit” of the present invention.

The work information acquisition unit 205 supplies the acquired work information to the input control unit 206. The input control unit 206 controls the input of the work results indicated by the work information acquired by the work information acquisition unit 205 into the inspection support system 1. The input control unit 206 first causes the display unit to display an input image for inputting the result of the work. The input control section 206 is an example of the "display control section" of the present invention.

In this embodiment, the server device 10 provides input images in the form of a web application. The input image storage unit 103 of the server device 10 stores input images for inputting the results of microbial testing work. When the input control unit 206 requests the server device 10 for an input image, the input image storage unit 103 transmits the requested input image to the inspection device 20 that is the request source. The input control unit 206 displays the transmitted input image on the display of its own device.

FIG. 9 shows an example of the displayed input image. In the example of FIG. 9, the input control unit 206 includes operation buttons F1 (microbial test request) and F2 (report output) used by a person requesting a test (such as a doctor) as a screen of the test support system 1. Operation buttons F3 (specimen collection), F4 (specimen evaluation), F5 (microscopic examination), F6 (culture), F7 (bacterial species identification), F8 (drug susceptibility test) for the test operator to input work results A control image is displayed.

The input images displayed when each operator image is pressed will be described with reference to FIG. 10 and subsequent figures below. First, the screen shown in FIG. 9 is also displayed on the doctor's device 30. The instruction receiving unit 301 of the doctor's device 30 acquires an input image from the input image storage unit 103 and displays it. When the doctor presses the operation button F1, the instruction receiving unit 301 displays an input image for inputting instruction information.

FIG. 10 shows an example of an image for inputting instruction information. In the example of FIG. 10, the instruction receiving unit 301 displays input fields for instruction information such as test ID, specimen type, collection date and time, test content, and attachment destination, and a label print button F11 as an input image. The examination ID is an ID issued by the instruction receiving unit 301, but the information in the other input fields is input by the doctor. When the label printing button F11 is pressed with the instruction information already input, printing is performed on the instruction label 5 shown in FIG. 5, for example.

When the operation button F2 is pressed, a report of the test results is output (report output will be explained later). In this way, operations on the operation buttons F1 and F2 are mainly performed on the doctor's device 30. On the other hand, operations on the operation buttons F3 to F8 are mainly performed on the inspection device 20. For example, when the operation button F4 is pressed, the input control unit 206 displays the input image shown in FIG. 11.

FIG. 11 shows an example of an image for inputting test results of specimen evaluation. In the example of FIG. 11, the input control unit 206 uses the test ID, specimen type, collection date and time, and attachment destination, specimen sample images G1, G2, G3, G4, and G5, and the label print button F12 as input images. It is displayed. In this example, the specimen is evaluated using M&J (Miller & Jones) classification. M&J classification is a process of making judgments based on the appearance of the specimen to be tested.

In the M&J classification, the appearance characteristics of a specimen are associated with five classifications (P3, P2, P1, M2, M1) as follows. P3: More than 2/3 of the purulent area. P2: Purulent area is 1/3 to 2/3. P1: Purulent area is less than 1/3. M2: A small amount of purulent sputum is included in the mucous sputum. M1: Saliva, complete mucous sputum. Sample images G1, G2, G3, G4, and G5 of specimens are images respectively associated with classifications P3, P2, P1, M2, and M1, which are determination results for the specimens shown in each sample image.

The person performing the test compares the collected sputum with the sample image and selects the sample image that is considered to be the closest, thereby determining the classification associated with the selected sample image. The input control unit 206 displays the test ID, specimen type, and collection date and time based on the work information supplied as described above. On the other hand, since the next step changes depending on the evaluation result of the sample, the destination to which the work label is attached also changes depending on the evaluation result.

In this embodiment, in the case of classifications P1 to P3, microscopic examination is performed, and in the case of classifications M2 and M1, sample collection is performed again. Therefore, when the sample images G1 to G3 are selected, the input control unit 206 displays the "slide glass" used in the next step of microscopic examination as the attachment destination, and when the sample images G4 and G5 are selected, the attachment destination is displayed. First, display the "test tube" used for sample collection. In this way, when the work result of the executed process is input, the input control unit 206 displays the attachment destination of the work label in the next process determined according to the input work result.

When the person conducting the test selects a sample image and presses the label print button F12, the input control unit 206 displays the determined classification and work information as information indicating the work result of the sample evaluation process. Send the result data to the server device 10. The work result storage unit 104 of the server device 10 stores work information and work results indicated by the received result data. As shown in FIG. 6, the work result storage unit 104 stores work information and work results in association with the instruction information stored in the instruction information storage unit 101 that has a common inspection ID.

In the example of FIG. 6, a sample evaluation process ID of "E02" and a work result (specimen evaluation determination result) of "P2" are stored in association with a test ID of "D01." In this way, the inspection history storage section 107 (instruction information storage section 101 and work result storage section 104) stores various inspection histories (instruction information, work information, and work results). Further, when the operation button F7 shown in FIG. 9 is pressed, the input control unit 206 displays the input image shown in FIG. 12.

FIG. 12 shows an example of an image for inputting test results for bacterial species identification. In the example of FIG. 12, the input control unit 206 displays the test ID, specimen type, collection date and time, attachment destination, bacterial name input field, and label print button F13 as input images. In this example, the MIC (Minimum Inhibitory Concentration) method is used in the step of drug susceptibility testing following bacterial species identification. Therefore, the input control unit 206 displays "microplate" used in the MIC method as the work label attachment destination.

When the person conducting the test inputs the bacterial name "xxxxxxxxxx" and presses the label print button F13, the identified bacterial name is stored in the work result storage unit 104 as shown in FIG. 6, similar to the sample evaluation result. be remembered. Similar to the above-mentioned "specimen evaluation" and "bacterial name identification", for other steps, by pressing the corresponding operation button, an image for inputting the work result is displayed. When the person conducting the test inputs the work results, the input work results are stored in the work result storage unit 104.

Further, in the example of FIG. 11 or 12, when an operation of pressing the label print button F12 or F13 is performed, the input control unit 206 inputs work information and input information to the input image (input information using the input image). The start information acquisition unit 201 is supplied with the work result, which is the information obtained by the start information acquisition unit 201. The start information acquisition unit 201 acquires the supplied work information and work results as start information of a new process.

For example, when one of the sample images is selected on the screen on which the input images shown in FIG. 11 are displayed, the start information acquisition unit 201 acquires the determination result associated with the sample image as the start information. Furthermore, when a bacterial name is input on the screen on which the input image shown in FIG. 12 is displayed, the start information acquisition unit 201 acquires the input bacterial name as the start information.

In addition, if the classification result of Gram-stained bacteria (positive cocci, etc.) is input on the screen on which the input image for the microscopic examination process is displayed, the start information acquisition unit 201 receives the input classification result. Get as starting information. In addition, if the culture results (bacteria amount, properties, confirmation medium, etc.) are input on the screen where the input image for the culture process is displayed, the start information acquisition unit 201 starts the input culture results. Obtain as information.

When the start information acquired by the start information acquisition unit 201 is supplied to the process determination unit 203, the process determination unit 203 determines the above-mentioned start process (one or more processes to be started) based on the supplied start information. Note that the process determining unit 203 does not determine the starting process if the starting process to be started next has already been determined because two or more starting processes were previously determined. When the process determination unit 203 determines the start process, it acquires work information indicating the work content of the determined start process from the server device 10 and supplies it to the print data output unit 204 .

The print data output unit 204 outputs print data for printing the supplied work information on a label to the printer 3. The work information indicated by the print data thus output is printed on the work label in the same way as the work label 6 shown in FIG. The printed work label is attached to a destination such as a tool used in the starting process, and the work in the starting process is performed using the tool.

As described above, the print data output unit 204 outputs print data for printing the work information of the start process determined according to the input information acquired by the start information acquisition unit 201 (information input using the input image). Output. In this way, in the inspection support system 1, a cycle of printing work information, performing work, reading work information, and inputting work information (hereinafter referred to as "work cycle") is repeatedly performed.

The display mode of each operation button in a situation where a work cycle is repeated will be described with reference to FIG. 13.
FIG. 13 shows an example of the display mode of the operation buttons. When the work information acquisition unit 205 acquires work information whose starting step is, for example, "specimen collection," the input control unit 206 displays various operation buttons as shown in FIG. 13(a).

In FIG. 13A, the operation button F3 (specimen collection) indicated by a solid line indicates that it can be operated, and the other operation buttons indicated by a broken line indicate that it cannot be operated. In this way, the input control unit 206 controls the microbial test screen that includes a plurality of input images (operation buttons F1 to F8) to input the acquired work information input image (in FIG. The button F3) is displayed in an input enabled state, and the other input images are displayed in an input disabled state.

Similarly, when work information with “microscopic examination” as the starting process is acquired, the input control unit 206 operates with the operation button F5 (microscopic examination) in an operable state as shown in FIG. 13(b). Display other operation buttons in an inoperable state. In addition, when work information whose starting process is "bacterial species identification" is acquired, the input control unit 206 sets the operation button F7 (bacterial species identification) in an operable state as shown in FIG. 13(c). , display other operation buttons in an inoperable state.

In addition, the input control unit 206 displays operation buttons in an operable state and operation buttons in an inoperable state in a distinguishable manner. In order to identify both operation buttons, the input control unit 206 may, for example, vary the thickness or type of the outline of the buttons, or may vary the size or shape of the buttons, or may vary the size or shape of the buttons. The thickness, color, format, etc. of the internal characters may be made different.

As described above, by changing the display mode of the operation buttons depending on whether the operation is possible or not, it is easier to understand where the results of the previous work should be input, compared to when the display mode is uniform. I can do it. In addition, as shown in Figure 11, by having a sample image selected as a determination result, the results of determination based on appearance, including "color" and "size", are made more stable than when no sample image is selected. be able to.

The report output unit 207 of the testing device 20 generates and outputs a report for reporting the results of the microbial test. The report may be output to a display, paper, or the like. For example, when the operation button F2 (report output) illustrated in FIG. is acquired from the server device 10.

The report output unit 207 first acquires the work information and work results of the microbial test to be reported from the work result storage unit 104 of the server device 10 . Additionally, the report output unit 207 acquires the results of past drug susceptibility tests at medical institutions that treat patients from whom samples have been collected. The results of this work are used to generate an antibiogram (a graph representing the susceptibility rate for each drug), which will be described later.

Additionally, the report output unit 207 inquires of the server device 10 about the drugs recommended for treatment of the patient whose specimen was collected for microbial testing. At this time, the report output unit 207 notifies the server device 10 of the test ID of the microbial test to be reported and the institution ID of the medical institution that treats the patient from whom the specimen was collected.

The recommended drug specifying unit 105 of the server device 10 specifies the recommended drug for which the inquiry has been received. The recommended drug specifying unit 105 reads out the work information and test results stored in association with the notified test ID from the work result storage unit 104. Further, the recommended drug specifying unit 105 refers to the drug information storage unit 106 in order to specify a recommended drug. The drug information storage unit 106 stores various information regarding drugs (drug information).

FIG. 14 shows an example of stored drug information. In the example of FIG. 14, the drug information storage unit 106 stores drug names and information for each drug system, such as "penicillin-1," "penicillin-2," and "penicillin-2 (anti-Pseudomonas aeruginosa)." It stores drug information that associates organ migration, excretion rate, and handling status. "Organ transit" refers to the degree to which an administered drug reaches each organ (kidney (=kidney/urinary tract), liver (=liver/bile), sputum (=sputum/bronchial secretion), bone marrow, etc.). The information is expressed as "◎"=excellent, "○"=good, "△"=acceptable, "×"=unsatisfactory, and "-"=no data.

"Excretion rate" is the rate at which an administered drug is excreted from the body (kidney, liver, etc.), and is expressed as a percentage. "Handling" indicates whether each drug is handled at Hospital A, Hospital B, etc. ("Yes" means a drug that is handled, and "No" means a drug that is not handled). It is assumed that the presence or absence of handling at each medical institution is registered in advance by the administrator of the test support system 1 or the like.

The recommended drug specifying unit 105 reads drug information of the drug handled by the medical institution indicated by the notified institution ID. Among the read drug information, the recommended drug identification unit 105 selects recommended drugs, giving priority to drugs that have high organ migration to the sample collection location (place where the identified microorganism survives) indicated by the above-mentioned work information. Specify as. Further, the recommended drug identifying unit 105 uses the medical record ID indicated by the work information to acquire information on the patient's underlying disease from an electronic medical record system (not shown).

Then, for patients with underlying diseases that affect the kidneys (chronic kidney disease, etc.), the recommended drug identification unit 105 prioritizes and identifies drugs with renal excretion rates below a threshold as recommended drugs, and For patients with underlying diseases that affect the liver (e.g., viral hepatitis), drugs with a hepatic excretion rate below a threshold value are prioritized and recommended drugs are identified. The recommended drug specifying unit 105 specifies a recommended drug based on the above three conditions (handling, organ migration, and excretion rate) before the test results of the drug susceptibility test are released.

The recommended drug specifying unit 105 specifies a predetermined number (approximately 1 to 3) of recommended drugs for each drug system in descending order of priority, and sends the drug information of the specified drugs to the testing device 20 that is the inquiry source. Send to. The report output unit 207 generates and outputs a report based on the transmitted drug information and the work information and work results acquired from the work result storage unit 104. A report generated before the drug susceptibility test results are issued will be explained with reference to FIG. 15.

Figure 15 represents an example of a report prior to completion of drug susceptibility testing. In the example of FIG. 15, the report output unit 207 outputs a report including patient information, specimen information, specimen evaluation, microscopic examination results, Gram staining image, antibiogram H1, and drug information J1. is being generated. Antibiogram H1 is used in medical institutions that treat patients from whom the specimens to be tested have been collected, and is used to identify strains against the "intestinal bacteria group," "non-fermenting bacteria group," "staphylococcus group," and "enterococcus group." It represents the susceptibility rate for each same drug.

The susceptibility rate indicates the rate at which a drug was judged to be "S" (Susceptible), which indicates that the drug is expected to be effective, in past drug susceptibility tests. For example, if a drug has a 50% susceptibility rate to "intestinal bacteria," this means that it was judged as S in half of the past drug susceptibility tests for "intestinal bacteria." Therefore, before the results of a drug susceptibility test are available, drugs should be selected based on the assumption that the higher the susceptibility rate shown in antibiogram H1, the more effective the drug is expected to be for treatment at the same medical institution. It will be useful as a reference.

The drug information J1 is drug information of a recommended drug specified by the recommended drug specifying unit 105. Drug information J1 indicates that, for example, for a drug called "Pe2" of "penicillin-2 (anti-Pseudomonas aeruginosa)", the organ migration is "〇" and the excretion rate is "60/-/-". It is shown. The organ migration property here represents the migration property to the organ most closely related to the place where the specimen was collected.

For example, if the specimen is "suctioned sputum", it indicates the organ migration to "sputum/bronchial secretions", and if the specimen is "urine", it indicates the organ migration to the "kidney/urinary tract". It should be noted that drug systems for which the drug information J1 is "-" indicate that drugs whose priority level based on organ transitivity and excretion rate exceeds a certain level are not handled. Next, a report generated after the drug susceptibility test results are obtained will be explained with reference to FIG. 16.

Figure 16 represents an example of a report after completion of drug susceptibility testing. In the example of FIG. 16, the report output unit 207 outputs a report including a bacterial name list K1, susceptibility test results Q1, and drug information J2 instead of the antibiogram H1 and drug information J1 shown in FIG. is being generated. The bacterial name list K1 includes bacterial names, bacterial quantities, proportions, and comments input as the work results of the bacterial name identification process.

The "bacteria amount" is expressed as "1+", "2+", or "3+" depending on the number of bacteria included in one field of view of a microscope at a predetermined magnification (1000 times, etc.), for example. "Ratio" represents the ratio of the number of each microorganism among all identified microorganisms. The susceptibility test result Q1 is the drug name (used in the test), sensitivity, and MIC value input as the work result of the drug susceptibility test process.

The example in FIG. 16 shows the results of a drug sensitivity test using 12 test drugs. Sensitivity "ND" indicates that SIR (indicator of drug effectiveness) was not determined. The drug information J2 is drug information of a recommended drug specified by the recommended drug specifying unit 105 in consideration of the test results of the drug sensitivity test. When the test results of the drug susceptibility test are acquired from the work result storage unit 104, the recommended drug specifying unit 105 specifies the recommended drug for the drug family tested.

Specifically, the recommended drug identification unit 105 recommends the drug based on the family of the drug tested and the three conditions used before the test results were obtained (handling or non-handling, organ migration, and excretion rate). Narrow down the drugs to be used. Then, the recommended drug specifying unit 105 determines that among the narrowed down recommended drugs, the sensitivity is "R" (R: Resistant, efficacy cannot be guaranteed), "I" (I: Intermediate, evaluation of effectiveness has not been determined). ) and those that are "ND" are identified as the final recommended drug.

In the example in Figure 16, "Cephem-3", "Cephem-5", and "Tetracycline" include drugs that meet three conditions, but the sensitivity is "R" or "ND". Excluded from recommended drugs. Furthermore, although the sensitivity of "Macroid" is "S", no recommended drug has been identified because it does not contain drugs that meet the three conditions. Furthermore, for the identified recommended drugs, the organ transitivity and excretion rate are shown, similar to the example in FIG. 15.

As described above, the report output unit 207 outputs drugs that are specified and recommended for treatment according to the results of the work that has been performed, among the drugs used in the medical institution where the specimen for microbial testing was collected. Recommended information regarding (drug information J1, J2 in the above example) is output. The report output section 207 is an example of the "recommended output section" of the present invention. By outputting recommended information, it is possible to more easily select a drug for treatment than when there is no information.

The report output unit 207 also generates information (“◎”, “〇” in drug information J1, J2) indicating the migration of the drug to the organ according to the sample collection location, in association with the recommended drug. etc.) is output as recommended information. By outputting information indicating migration properties, it is possible to more easily select a drug that can easily reach the organ where the microorganism in which the drug is desired to exert its effect is present, compared to a case where no information is available.

In addition, the report output unit 207 outputs recommendation information indicating, among the recommended drugs, drugs whose excretion rate in organs that are undesirable as excretion destinations is less than a threshold value according to the symptoms of the patient from whom the sample was collected. do. Excreting drugs from an undesirable organ can have the side effect of aggravating that organ. In this example, by prioritizing drugs whose excretion rate is less than the threshold for such organs, the risk of side effects caused by the recommended drugs can be lowered compared to when the priority is set uniformly. .

Based on the above configuration, the test support system 1 performs a guide process that guides work related to microbial testing through label printing and reading, and a report process that outputs a report of work results.
FIG. 17 shows an example of an operation procedure in guide processing. The procedure shown in FIG. 17 is started, for example, when instruction information input by a doctor is printed on an instruction label.

First, the testing device 20 (code reading unit 202) reads the instruction information (in this embodiment, the medical record ID and the test ID) indicated by the code printed on the instruction label (step S11). The instruction information read here is part of the input instruction information (in this embodiment, the medical record ID and the examination ID). On the other hand, the server device 10 (instruction information storage unit 101) stores the instruction information input and transmitted from the doctor device 30 (step S12). The instruction information stored here is the entire input instruction information (information including instruction contents, etc.).

Next, the testing device 20 (start information acquisition unit 201) requests the server device 10 for the entire instruction information including the part of the instruction information read from the instruction label (step S13). The server device 10 (instruction information storage unit 101) transmits the requested instruction information to the testing device 20 (step S14). The testing device 20 (start information acquisition unit 201) acquires the transmitted instruction information as start information (step S15).

Next, the inspection device 20 (process determination unit 203) determines the start process based on the acquired start information (step S16). Subsequently, the inspection device 20 (print data output unit 204) outputs print data for printing work information indicating the work content of the determined start process on a label (step S17). The work label on which the work information is printed is attached to the equipment used in the starting process, and the work in the starting process is carried out.

When the work label is read after the work is performed, the inspection device 20 (code reading section 202) reads the work information indicated by the code printed on the work label (step S21). The work information read here is part of the work information (in this embodiment, the medical record ID, examination ID, and process ID) stored in advance in the server device 10. The inspection device 20 (work information acquisition unit 205) acquires the read work information (step S22).

Next, the inspection device 20 (input control unit 206) requests an input image from the server device 10 (step S23). The server device 10 (input image storage unit 103) transmits the requested input image to the requesting inspection device 20 (step S24). The inspection device 20 (input control unit 206) displays the transmitted input image (step S25). Next, the inspection device 20 (input control unit 206) receives input of the work result into the input image (step S26).

Subsequently, the testing device 20 (input control unit 206) transmits work information and result data indicating the input work results to the server device 10 (step S27). The server device 10 (work result storage unit 104) stores the work information and work results indicated by the received result data (step S28). Next, the inspection device 20 (start information acquisition unit 201) acquires the acquired work information and the input work result as start information of a new process (step S31).

Subsequently, the inspection device 20 (process determination unit 203) determines the start process based on the acquired start information (step S32). Next, the inspection device 20 (process determination unit 203) requests the server device 10 for work information indicating the work content of the determined start process (step S33). The server device 10 (work result storage unit 104) transmits the requested work information to the testing device 20 (step S34).

The inspection device 20 (print data output unit 204) outputs print data for printing work information indicating the work content of the determined start process on a label (step S35). The work label on which the work information is printed is attached to the equipment used in the starting process, and the work in the starting process is carried out. Thereafter, the operations from steps S21 to S35 are repeated until the microbial test is completed.

FIG. 18 shows an example of an operation procedure in report processing. The procedure shown in FIG. 18 is started, for example, when a doctor performs a report output operation. First, the test device 20 (report output unit 207) receives a designation of a test to be reported (step S41). Next, the test device 20 (report output unit 207) requests information regarding the specified test from the server device 10 (step S42).

The server device 10 (work result storage unit 104) transmits the work information and work results of the microbial test to be reported to the testing device 20 (step S43). Next, the testing device 20 (report output unit 207) acquires the work results of past drug susceptibility tests at the medical institution that treats the patient from whom the specimen indicated by the transmitted work information was collected (step S44). ). Subsequently, the testing device 20 (report output unit 207) inquires of the server device 10 about the drug recommended for treatment of the patient whose specimen was collected for microbial testing (step S45).

The server device 10 (recommended drug identification unit 105) identifies the recommended drug that received the inquiry (step S46), and transmits the drug information of the identified drug to the testing device 20 that made the inquiry (step S47). . The testing device 20 (report output unit 207) generates a report based on the transmitted drug information, previously acquired work information, work results, and work results of past drug susceptibility tests. Output (step S48).

In microbiological testing, the accuracy of the information obtained as a result of the testing is likely to be influenced by the level of experience of the person conducting the testing. Specifically, when selecting the next step according to the result of each step, a person with less experience is more likely to make the mistake of selecting an inappropriate step than a person with more experience. In this embodiment, as described above, the work cycle of printing work information on a label, performing work, reading work information from the label, and inputting work results is repeatedly performed.

At this time, new work steps are also identified and guided by the inspection support system 1. This makes it possible to standardize the work cycle and make the work processes carried out uniform. As a result, the quality of microbial testing can be stabilized regardless of the level of experience of the person in charge, compared to the case where no guidance is provided. Furthermore, the less experienced a person is, the more likely he or she is to make mistakes in the work to be performed in that process, even if the process is correct.

In this embodiment, since work information including a character string indicating the work contents in the starting process is printed on the work label, even a person with little inspection experience can correctly perform the work in each process. Further, in this embodiment, when the work information is read, an input image for inputting the result of the work indicated by the work information is displayed, so that it is possible to save the effort of searching for the correct input screen. Further, in this embodiment, since work information including a character string indicating the destination of the label is printed, it is possible to avoid making a mistake in the destination of the label.

In addition, in this example, when starting a microbial test and even when no work has been done yet, an instruction label on which instruction information indicating a doctor's instructions is printed is used, and a work label is used. The same work cycle can be carried out. As a result, microbial testing based on a doctor's instructions can be started more smoothly than when a special task is performed when starting a microbial testing.

[2] Modifications The embodiments described above are merely examples of implementing the present invention, and may be modified as follows. Further, the above-described embodiments and each modification shown below may be implemented in combination as necessary.

[2-1] Label In the example, a medium coated with an adhesive substance on the back side was used as a label, but the present invention is not limited to this. For example, a sheet of paper may be used as a label to print instruction information, and the label may be attached to a petri dish or the like using transparent vinyl tape. Further, in the embodiment, a barcode indicating the test ID etc. was printed on the label, but the code printed on the label is not limited to this, and may be a two-dimensional code such as a QR code (registered trademark). .

By using a two-dimensional code, the amount of information that can be read by a code reader can be increased compared to when using a barcode. On the other hand, code readers for two-dimensional codes are more expensive than those for barcodes. Therefore, by using a barcode as in the embodiment, it is possible to construct a system that uniformizes the work cycle by repeating printing and reading on a label at a lower cost than when using a two-dimensional code.

Note that all the instruction information and work information may be converted into character strings and printed on the label without using the code. In that case, the work information may be read using means for reading work information using OCR (Optical Character Recognition) technology that recognizes characters instead of a code reader. Furthermore, instead of printing codes and character strings, a technique for printing an IC (Integrated Circuit) circuit may be used to print an IC circuit that can output instruction information and work information via wireless communication. In that case, the work information may be read using a wireless communication device instead of the code reader.

[2-2] Sample image In the example, one sample image was displayed for one judgment result as the input image for the test results of specimen evaluation shown in FIG. 11, but two or more sample images were displayed. may be done. In this modification, the input control unit 206 displays, together with the sample image, one or more sample images having the same appearance as the sample image.

FIG. 19 shows an example of an image for inputting test results of specimen evaluation according to this modification. In the example of FIG. 19, when sample image G1 is selected, input control unit 206 selects sample images G1, G1-2, G1-3, G1- as sample images of the specimen associated with classification P3. 4, two or more sample images G1-5 are displayed. If another sample image is selected, the input control unit 206 displays two or more sample images associated with the same classification as the selected sample image.

The input control unit 206 displays the label print button F14, and when the button is pressed, the input control unit 206 sends the work information and the work result, which is input information to the input image, to the start information acquisition unit, as in the embodiment. 201. As described above, by displaying two or more sample images, it is easier to include sample images that resemble the test target (for example, a specimen) actually used in microbial testing, compared to a case where there is only one sample image. Therefore, it is possible to improve the accuracy of the determination made based on the sample image.

In the example of FIG. 19, the operation of pressing the label print button F12 with the one most similar to the actual specimen selected among sample images G1, G1-2, G1-3, G1-4, and G1-5 is It will be done. When one of two or more sample images associated with the same determination result is selected, the start information acquisition unit 201 acquires the determination result associated with the selected sample image as start information. get.

At this time, the input control unit 206 supplies the work result storage unit 104 with an image ID that identifies the selected sample image. The work result storage unit 104 stores the supplied image ID as a work result. The work result storage unit 104 thus accumulates the selection results (information indicating the number of selections) of each sample image. Then, when displaying two or more sample images associated with the same determination result, the input control unit 206 displays the two or more sample images in a manner according to the selection results.

For example, when displaying a plurality of sample images side by side as in the example of FIG. 19, the input control unit 206 causes the sample images with more selection results to be displayed on the left side. Note that when displaying a plurality of sample images vertically, the sample images that have been selected more frequently may be displayed on the upper side. Further, the input control unit 206 may display the sample image with a larger number of selection results, or may display the image with a thicker outline.

The more similar the sample image of the appearance of the inspection object is to the actual inspection object in shape, size, color, etc., the more useful it will be as a reference for determination. On the other hand, as the sample image, for example, an image of the test object actually photographed at a medical institution using the test support system 1 is used. Therefore, there may be a mixture of images in which the shape, size, color, etc. are clear and it is easy to make an accurate determination, and images in which the shape, etc. are unclear and it is difficult to make an accurate determination.

In this case, images that are easier to make accurate determinations are more likely to be selected and more likely to be selected. In this modified example, the sample images are displayed in a manner according to the selection results, so for example, the sample images with more selection results are displayed in a more conspicuous manner, making it more useful for judgment than when the display manner is uniform. The sample image can be easily understood.

[2-3] Input image The input image is not limited to the images described in the embodiment. For example, in the embodiment, the input control unit 206 displays operation buttons for displaying input images of each work result as shown in FIG. , the input images for each work result may be displayed from the beginning (if they do not fit on one screen, they may be scrolled).

Furthermore, in the example of FIG. 13, the input control unit 206 displays the acquired work information input image in a state in which input is possible, and displays other input images in a state in which input is disabled. Not exclusively. For example, the input control unit 206 displays the acquired work information input image without operating the operation button to make the input possible, and does not display other input images to make the input possible. It may be a state.

[2-4] Apparatus that realizes each function The apparatus that realizes each function shown in FIG. 4 is not limited to the above-mentioned apparatus. For example, the testing device 20 or the doctor's device 30 may implement some or all of the functions that the server device 10 implements. Moreover, the server device 10 or the doctor's device 30 may realize some or all of the functions realized by the testing device 20. When all of the functions of the testing device 20 are realized, the server device 10 or the doctor's device 30 is an example of the "information processing device" of the present invention.

Moreover, the functions that each of the server device 10, the testing device 20, or the doctor's device 30 implements with one terminal may be shared and implemented with two or more devices. Further, the operations performed by each function may be shared and executed by two or more functions. For example, the operations performed by the input control unit 206, such as displaying an input image and accepting input of work results to the input image, may be performed by separate functions. In either case, it is sufficient that the functions shown in FIG. 4 are realized in the entire inspection support system 1.

[2-5] Categories of the Invention The present invention can be regarded as not only information processing devices such as a server device, a test device, and a doctor device, but also other devices that implement the means shown in FIG. Further, the present invention can be regarded as a system such as an inspection support system including these devices. Furthermore, the present invention can be viewed as an information processing method for realizing processing performed by each information processing device, and can also be viewed as a program for causing a computer that controls each information processing device to function. This program may be provided in the form of a recording medium such as an optical disk on which it is stored, or it may be provided in the form of being downloaded to a computer via a network such as the Internet, and installed and made available. may be done.

DESCRIPTION OF SYMBOLS 1...Test support system, 3...Printer, 4...Code reader, 5...Instruction label, 6...Work label, 10...Server device, 20...Testing device, 30...Doctor's device, 101...Instruction information storage section, 102 ...Work information storage section, 103...Input image storage section, 104...Work result storage section, 105...Recommended drug identification section, 106...Drug information storage section, 107...Test history storage section, 201...Start information acquisition section, 202 ...Code reading section, 203...Process judgment section, 204...Print data output section, 205...Work information acquisition section, 206...Input control section, 207...Report output section, 301...Instruction reception section, 302...Print data output section .

Claims (9)

a start acquisition unit that acquires start information indicating the start of a process in microbial testing;
a print output unit that outputs print data for printing work information indicating the work content of the process indicated by the acquired start information on a medium;
a work acquisition unit that acquires the work information read from the medium;
a display control unit that causes a display unit to display an input image for inputting the result of the work indicated by the acquired work information;
The start acquisition unit acquires input information to the input image as the start information of a new process,
The display control unit displays, as the input image, a sample image of the appearance associated with the judgment result in a task of making a judgment based on the appearance of the inspection target;
The start acquisition unit acquires the determination result associated with the sample image as the start information when the sample image is selected.
Information processing device. The print output unit outputs the print data of the work information including a barcode indicating identification information for identifying the process,
The information processing apparatus according to claim 1, wherein the work acquisition unit acquires the work information read from the barcode. The information processing apparatus according to claim 1 or 2, wherein the print output unit outputs the print data of the work information including a character string indicating work content in the step. The information processing apparatus according to claim 3, wherein the print output unit outputs the print data in which the character string is the pasting destination of the medium. The information processing device according to any one of claims 1 to 4, wherein the start acquisition unit acquires, as the start information, instruction information read from a medium on which instruction information indicating a test instruction from a doctor is printed. . The information processing apparatus according to any one of claims 1 to 5, wherein the print output unit outputs the print data for printing the work information of the process determined according to the acquired input information. The display control unit displays the input image of the acquired work information in an inputtable state on the screen for the microbial test including the plurality of input images, and displays the other input images. The information processing device according to any one of claims 1 to 6, wherein the information processing device is displayed in a state where input is disabled. The information processing device according to any one of claims 1 to 7, wherein the display control unit displays two or more of the sample images associated with the determination result. The start acquisition unit acquires a determination result associated with the selected sample image as the start information when one of the two or more sample images is selected;
The information processing device according to claim 8 , wherein the display control unit displays the two or more sample images in a manner according to the selection results.

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